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題名 | Sclerosed Hemangioma Mimicking Cholangiocarcionma=影像似膽管癌之硬化性血管瘤 |
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作者 | 郭仰哲; 王鴻源; 劉家源; 張經緯; 洪猷崇; 陳冬英; Kuo, Yang-che; Wang, Horng-yuan; Liu, Chia-yuan; Chang, Ching-wei; Hung, Yu-chung; Chen, Tung-ying; |
期刊 | 臺灣癌症醫學雜誌 |
出版日期 | 20130300 |
卷期 | 29:1 2013.03[民102.03] |
頁次 | 頁41-46 |
分類號 | 415.641 |
語文 | eng |
關鍵詞 | 硬化性血管瘤; Sclerosed hemangioma; |
中文摘要 | 肝臟海綿狀血管瘤是最常見的肝臟良性腫瘤,其典型的核磁共振影像呈現結節性顯 影及延遲充填在 T1-weighted imaging,而在 T2-weighted imaging 則提供高亮度表現,讓 我們更易於診斷,然而當一個腫瘤在 T2-weighted imaging 無高亮度的表現,要下血管瘤 的診斷就非常困難。硬化性血管瘤是一種罕見的非典型血管瘤,其困難點就在於無法用 影像作一確切診斷。我們在這裡提出一個女性病患合併輕微黃疸,因意外發現肝腫瘤, 且無法以超音波,電腦斷層及腫瘤指標作一有效判斷,核磁共振又無法排除膽管癌的可 能性,最後安排術中切片證實為硬化性血管瘤。 |
英文摘要 | Cavernous hemangioma is the most common benign hepatic tumor. The typical magnetic resonance imaging (MRI) shows nodule enhancement and delayed filled-in during T1-weighted imaging. Hyperintensity in T2-weighted imaging provides sufficient evidence for the diagnosis typical hemangioma. If, however, the signal intensity of T2-weighted imaging is not very high, hemangioma usually escapes correct diagnosis. Sclerosed hemangioma is a rare atypical hemangioma, and its diagnosis with medical imaging alone is difficult. Here we present a case of a female patient who was incidentally found to have a hepatic tumor with unknown etiology after sonography, computed tomography and tumor marker survey. Cholangiocarcinoma was suspected because of MRI findings and mild hyperbilirubinema. Finally, surgical biopsy provided the direct evidence of sclerosed hemangioma. |
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